Right of Recovery Clause Samples
The Right of Recovery clause grants a party the ability to reclaim funds or property that were paid or transferred in error or under circumstances that later prove to be unjustified. In practice, this clause allows an insurer, for example, to recover overpayments made to a policyholder or a party to recoup mistaken disbursements from another. Its core function is to ensure that parties are not unjustly enriched and that financial transactions can be corrected if mistakes or overpayments occur, thereby maintaining fairness and accuracy in contractual dealings.
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Right of Recovery. KFHPWA has the right to recover excess payment whenever it has paid allowable expenses in excess of the maximum amount of payment necessary to satisfy the intent of this provision. KFHPWA may recover excess payment from any person to whom or for whom payment was made or any other issuers or plans. Questions about Coordination of Benefits? Contact the State Insurance Department.
Right of Recovery. Whenever any payment for Covered Services has been made by Us in an amount that exceeds the maximum Benefits available for such services under this Contract or exceeds the Allowable Charge, or whenever payment has been made in error by Us for non-Covered Services, We will have the right to recover such payment from You or, if applicable, the Provider. As an alternative, We reserve the right to deduct from any pending Claim for payment under this Contract any amounts We are owed by You or the Provider.
Right of Recovery. If the amount of the payments made by this CareFirst BlueChoice Plan is more than it should have paid under this COB provision, it may recover the excess from one or more of:
1. The persons it has paid or for whom it has paid;
2. Insurance companies; or
3. Other organizations. The “amount of the payments made” includes the reasonable cash value of any benefits provided in the form of services.
Right of Recovery. If the amount of the payments made by the Company is more than it should have paid under this COB provision, it may recover the excess from one or more of the persons it has paid or for whom it has paid; or any other person or organization that may be responsible for the benefits or services provided for the covered person. The "amount of the payments made" includes the reasonable cash value of any benefits provided in the form of services.
Right of Recovery. If, after a Political or Security Evacuation is completed, it becomes clear that You were an active participant in the events that led to a Political or Security Event, We have the right to recover all transportation and Related Costs from You. NATURAL DISASTER EVACUATION
Right of Recovery. If the amount of the payments made by AvMed is more than it should have paid under the provisions of this Part, it may recover the excess from one or more of the persons it has paid, or for whom it has paid, or any other person or organization that may be responsible for the benefits or services provided for the Member. The ‘amount of the payments made’ includes the reasonable cash value of any benefits provided in the form of services.
Right of Recovery. In the event that We or Our authorised service providers have authorised payment incurred by You which is not liable by Us, We or Our authorised service providers reserve the right to recover the full sum paid to You.
Right of Recovery. If We pay for a loss, We may require You to assign Us Your rights of recovery against others. We will not pay for a loss if You impair these rights to recover. Your rights to recover from others may not be waived.
Right of Recovery. We have the right to recover amounts we paid that exceed the amount for which we are liable. Such amounts may be recovered from the subscriber or any other payee, including a provider. Or, such amounts may be deducted from future benefits of the subscriber or any of his or her dependents (even if the original payment was not made on that member's behalf) when the future benefits would otherwise have been paid directly to the subscriber or to a provider that does not have a contract with us. In addition, if this contract is voided as described in Intentionally False or Misleading Statements, we have the right to recover the amount of any claims we paid under this plan and any administrative costs we incurred to pay those claims.
Right of Recovery. If the amount of the payments made by us is more than we should have paid under this COB provision, we may recover the excess from one or more of:
a. the persons it has paid or for whom it has paid;
b. insurance companies; or
c. other organizations. The "amount of the payments made" includes the reasonable cash value of any benefits provided in the form of services. The benefits provided by this plan do not apply to injury or disease covered by no-fault insurance, employers liability laws (including workers' compensation), and care available or required to be furnished by or through national or state governments or their agencies including care to which a member is legally entitled and for which facilities are reasonably available for military service-connected conditions or disabilities. Subject to our rights in part A. "Rights of Reimbursement and Subrogation" above, we will provide medically necessary services upon request and only pay expenses incurred for medical treatment otherwise covered by this plan if the no-fault insurer, employer, or national or state government or its agencies refuse to pay said expenses. You must cooperate with our program to bill allowable no-fault and workers’ compensation claims to the appropriate insurer(s).